Urolift

[Butterscone]

Has anyone had the Urolift procedure for BPH? If so, what was the outcome?

[fredwgarfield]

I’m curious too.

[PSAed]

Me Too!

[LondonB]

yes, no side effects. Was easy. Dr Barber at the London clinic in December. Waterworks working well, no longer retaining urine in bladder. Just a couple days of a small amount of discomfort but no big deal at all.

[Butterscone in reply to LondonB]

Thanks for your reply. Please may I ask you a couple of questions? In my case it is being recommended because I do not empty my bladder when I urinate and so I constantly need the loo. After your op, what improvements gave you experienced? Also, how long ago did you have the procedure?

Many thanks.

[LondonB in reply to Butterscone]

Dec 2022. Feb 2023 had scan of bladder and no retention. No need to frequently urinate etc. no dripping post procedure either

Worth a shot vs the old fashion TURP that can cause ED and/or reverse ejaculation

I would do it, even if it fails you at least tried the least invasive procedure first

[FerdyOne]

I had the procedure in June 2021. No change to symptoms at all apart from near 'urgency incontinence'. A recent cystoscopy revealed that one end of one of the four implants used was in my bladder (rare occurrence) which has started to 'crust' and a stone has formed which will need removal. The consultant who 'consented' me was not the person that carried out the procedure. (I have been advised that the misplaced implant could be the reason that I have no improvement.) Now looking at Rezum to see if that will help.

[Butterscone in reply to FerdyOne]

FerdyOneThanks for your reply. That's food for thought.

Best Wishes

[dixiedad in reply to FerdyOne]

Also looking for a malpractice lawyer?

[FerdyOne]

I had Urolift in June '21. Made no difference. A CT scan earlier this year showed a stone in my bladder caused by one end of one of the implants lodged in my bladder and crusted because of contact with urine. Unsure as to whether it has migrated there or was incorrectly implanted in 2021. Caused blood in my urine and recent terrible UTI, needing a two week course of two antibiotics to shift. Awaiting a procedure to remove the rogue implant and demolish the stone by laser. A side effect of Urolift has been poor ejaculation, followed by passing blood with urine within 12/24 hours. Two GPs at my surgery have told me that they know of other patients for whom Urolift has not worked.

[Butterscone in reply to FerdyOne]

FerdyOne, Im really sorry to hear about your experience. I hope you have your procedure soon. Do you have any thoughs on why Urolift didnt work for you?

[MrGC314 in reply to FerdyOne]

Horrible news, Ferdy! What progress have you made since?

[FerdyOne in reply to MrGC314]

I had Rezum in March which has not made a scrap of difference. I was told somewhat untested to go from failed Urolift to Rezum. I'm just going to live with it, until I have to go for TURP. For others looking at options suggest look up Aquablation. See this from YouTube:

youtube.com/watch?v=7Xiphfl...(Not working as expected?)

[FerdyOne]

None at all I'm afraid. Tempted to google why Urolift sometimes fails...

[MrGC314]

I was referred to a urologist for BPH. He has suggested Urolift although I am reluctant to have that particular procedure. At 74 years old, my issues were about the same as everyone else except I could get a good flow once out of bed and moving around in the morning prior to my first urination. I have had several UTI's, a few run-ins with prostatitis and some ED. I'm guessing there's more success stories with urolift than failures? Any advice anyone can share that has had the procedure or decided not to have the procedure would be greatly appreciated. Thanks in advance.

[MrGC314]

I had the urolift procedure 5 days ago. I'm disappointed with the results so far and more disappointed with the procedure itself. I was given nitrous oxide as the anesthetic of choice. The entire procedure was painful and I was fully aware of what was happening. I had pain during the procedure and the nurse held my hand the entire time. I was there two hours and wish I had been knocked out with general anesthesia or propytol. I was sent home with 2 prescriptions, catherized for 24 hours and unfortunately just miserable. Each patient has a different recommendation on how to deal with BPH. Some choose Turp or Urolift, or a host of other surgeries, including, laser. I know the urolift procedure has an outstanding reputation and review record but my only advice to you is, don't go through it sucking on an nitrous oxide tube. The recovery is painful and a nuisance and all I'm doing is hoping I see a light at the end of the tunnel very soon. My biggest problem is, I was better off before the procedure than I am now. Do your homework on what works best for you with the least bit of pain and suffering. Good Luck!

[Butterscone in reply to MrGC314]

I agreed to take part in a clinical trial comparing Itind against Urolift. I was randomised into the Itind branch. I had the Itind procedure in November 2023. It has not been a success. I am still getting up two or three times a night to pee, although the amount of urine I pass each visit has increased.The insertion and removal of Itind device was pain free. The seven days whilst it was still in my urethra was very painful.

Sounds like your Urolift procedure was even worse.

[MrGC314 in reply to Butterscone]

Hello Butterscone, i might not be giving it a full chance. The procedure was done 6 days ago. I thought I would be better off sooner. I never got up during the night pre-op, but now I am up one or two times a night with a slow flow or dribble, not feeling as if I completely emptied my bladder. I have only two prednisone's left on a 6 day taper and I was given Oxyburynin 5 mg for bladder spasms. I am so sore in the rectum, uretha and penis area. I'm unsure if things are going to get better or this is the only improvement I will experience which will be a complete disappointment as I felt much better before the preocedure, only experiencing, difficult urination after prolonged sitting and frequent UTI's and epdidymitis. If this was a failed procedure, I'm unsure what my next move should be. I can't go through this again. What a nightmare. Listening to your story, I am sorry what you've been through. 3 of my 7 brothers had their prostates completely removed from cancer and a high PSA and Gleason. I have a good healthy prostate, albeit swollen, 1.7 PSA, so I'm hoping by some small miracle this all improves. Good luck to you too.

[Butterscone]

Before I agreed to go on Itind v Urolift trial, I did a lot of research regarding Urolift and I've not heard of anyone experiencing anything like you have. Surely the best thing to do would be to get an appointment with the specialist who did the procedure?

Regarding your pain, that could well be sorted out by time. However, if you're now getting up several times a night with slow flow and this was not the case before, further investigation is needed.

Incidentally, my PSA went from 1.7 to 8.8 after the Itind and following investigation I've been diagnosed with stage two cancer. The cancer was found in only two out of 16 cells and I'm on Active Surveillance. I'm really not troubled by this and my PSA is now 4.7.

However, I am bothered by my continuing need to urinate two or three times per night. Ive not had more than two and a half hours continuous sleep in over two years. I'm constantly tired throughout the day. So don't just except your Nocturia. Unless you get back to sleep straightaway after each visit to the loo, it will effect your quality of life.

My very best wishes to you.